Cataract And Presbyopia


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Cataract patient solutions for correcting Presbyopia.

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Cataract And Presbyopia

  1. 1. NEW EYES LAS VEGAS & HENDERSON Helga Fuenfhausen Pizio MD, FACS
  2. 2. Cataract Surgery and Presbyopia
  3. 3. What is a cataract? • A cataract is a clouding of the lens in the eye that affects vision. Most cataracts are related to aging. By age 80, more than half of all Americans either have a cataract or have had cataract surgery.
  4. 4. Who is at risk for cataract? • The risk of cataract increases as you get older. • Certain diseases such as diabetes. • Personal habits such as smoking and alcohol. • The environment such as prolonged exposure to sunlight.
  5. 5. How does cataract affect vision? Normal Vision Cataract Affected Vision
  6. 6. What are the symptoms of a cataract? • Cloudy or blurry vision. • Colors seem faded. • Glare. Headlights, lamps, or sunlight may appear too bright. A halo may appear around lights. • Poor night vision. • Double vision or multiple images in one eye. • Frequent prescription changes in your eyeglasses or contact lenses. • These symptoms also can be a sign of other eye problems. If you have any of these symptoms, check with your eye care professional.
  7. 7. How is cataract treated? • Surgery is the only way to remove a cataract. If the cataract changes vision so much that it interferes with your daily life activities such as driving, reading, or watching TV, the cataract may need to be removed. • You can decide not to have the cataract removed. If you don’t have the surgery, your vision loss from the cataract will probably continue to worsen.
  8. 8. What type of cataract surgery does Dr. Helga F. Pizio perform? • Phaco aka “small incision cataract surgery” A small incision is made on the side of the cornea, the clear, dome-shaped surface that covers the front of the eye. Dr. Helga F. Pizio inserts a tiny probe into the eye. This device emits ultrasound waves that soften and break up the lens so that it can be removed by suction. • After the natural lens has been removed, it is replaced by an artificial lens, called an intraocular lens (IOL). An IOL is a clear, plastic lens that requires no care and becomes a permanent part of your eye.
  9. 9. Is cataract surgery effective? • Cataract removal is one of the most common surgeries performed in the United States. It also is one of the safest and most effective types of surgery. In more than 90 percent of cases, people who have cataract surgery have better vision afterward.
  10. 10. What is presbyopia? • Inability of the eye to focus up close. • It happens naturally in people as they age. • Symptoms include:  Hard time reading small print.  Having to hold reading material farther than arm’s distance.  Problems seeing objects that are close to you.  Headaches.  Eye strain.
  11. 11. How is presbyopia related to cataract surgery? • Presbyopic individuals require bifocals or separate (different prescription) reading glasses in order to see clearly at close range. • There are several options available to you to achieve both distance and near vision after cataract surgery.
  12. 12. Options for distance and near vision after cataract surgery? • Glasses. • Monovision. • Accommodating monofocal IOL implant. • Multifocal IOL implant.
  13. 13. Glasses • Monofocal IOL lenses have a single focus. • They provide either clear far or clear near vision after cataract surgery, but not both at the same time. • Options: 1. Monofocal IOL lenses implanted in both eyes for distance vision and wear separate reading glasses. 2. Monofocal IOL lenses implanted for near vision and wear separate glasses for your distance vision.
  14. 14. Monovision • Monovision involves implanting a monofocal IOL in one eye that provides near vision and a monofocal IOL in the other eye that provides distance vision. • Some people can adjust to monovision, but if you cannot, your vision may seem blurry both near and far. • Method works best on those who have already used monovision with contact lenses, which is a common way of correcting presbyopia.
  15. 15. Accommodating IOL • The only FDA approved IOL of this type is called the Crystalens. • Crystalens have a single focal point that can shift position in space. • Accommodating IOL’s achieve this by physically moving inside the eye in response to the focusing action of the muscles of the eye. • Patients implanted with the Crystalens IOL generally enjoy near and distance vision without glasses.
  16. 16. Multifocal IOLs • New technological advances in IOL’s include lenses that allow patients to see both distance and close without wearing glasses. • ReZoom, ReSTOR and TMF lenses. • Helga F. Pizio, MD, FACS was recognized to be one of the leading surgeons in Nevada and chosen to be the first surgeon to implant the latest TECNIS Multifocal lens in Nevada in March 2009.
  17. 17. NEW EYES LAS VEGAS & HENDERSON Las Vegas Office: 501 S. Rancho Dr. Suite G-46 Las Vegas, NV 89106 Henderson Office: 8935 S. Pecos Rd. Suite 21-C Henderson, NV 89074